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Your Rights to Continue Coverage: There are agencies that can help if you want to continue your coverage after it ends. The contact
information for those agencies are: Department of Managed Health Care California Help Center, 980 9th street Suite #500, Sacramento,
CA 95814-4275 at 1-888-466-2219 or http://www.healthhelp.ca.gov.
at 1-866-444-EBSA (3272) or http://www.dol.gov/ebsa/healthreform.
Other coverage options may be available to you too, including buying individual insurance coverage through the Health
Insurance Marketplace. For more information about the Marketplace, visit www.HealthCare.gov or call 1-800-318-2596.
Your Grievance and Appeals Rights: There are agencies that can help if you have a complaint against your plan for a denial of a claim.
This complaint is called a grievance or appeal. For more information about your rights, look at the explanation of benefits you will receive
for that medical claim. Your plan documents also provide complete information to submit a claim, appeal, or a grievance for any reason to
your plan. For more information about your rights, this notice, or assistance, contact: your human resource department, and the Department
-866-444-EBSA (3272) or http://www.dol.gov/ebsa/healthreform.
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